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National Transmission and Despatch Company (Pvt.

) Ltd
Office of the Manager (Civil), NTDC, 10-A, Abbot Road Lahore
Phone No.:36364982-36362511, Fax No.

:36364982

APPLICATION FORM
Sr. No. of Application:
Application Sold to M/s.

for ENLISTMENT as CONTRACTOR (CIVIL


WORKS) in CATEGORY "D"

Bank Challan / Receipt No.


Amounting to Rs.
In words (

Al- Shoukat
Multan Road, Lahore.
Dated:
4000/(Four Thousands only)

PARTICULARS TO BE FILLED BY THE APPLICANT


Name of firm with status i.e. whether sole propritor,
Patrtnership or Limited Company liability concerned.

:
:

Official Address of the Head Office with Telephone No.

Multan Road, Lahore.

Registered Telephonic Address if any

0300-4275215

Name/Address of Sole Propritor/MD with evidence

Multan Road, Lahore.

5-

Name of Partner / Director if any

Not Applicable

6-

Date of Estabilishment of the Firm

2010

7-

Address / Telephone No. of Branch if any.

Not Applicable

8-

Financial credibility certified by Recognized Bank


(Certificate to be Attached), partculars of personnels
with qualification, engaged for whole time and perttime
with the applicant. At least One Sub Engineer (Civil)
should be on permanent Pay roll. Photostate copies
(Attested) of the following documents may be produced:

Attached

National Identity Card (Valid CNIC)

:
:

Attached

1-

234-

a)

b) Academic Certificates

Al- Shoukat

Attached

c)

Certificate by the applicant that the Sub Engineer


(s) & other qualified technical staff has continued to
be on their permanent pay roll on full time basis for
last 1-Year prior to the date of submission of
application for pre qualification or enlistment and
that the strength of such personnel shall not be
reduced the completion of the works awarded on the
base of pre qualification of during the currency of
enlistment.

Attached

(P.T.O.)
-29

List of Plant, Machinery and all construction


equipments presently available/owned/borrowed by
the firm giving perticulars referring to dates of
purchases make/type/condition (to be given on
separate sheet)

Attached

10

Attested Photostat copy/letter of Registration with


other Govt: Agencies like PWD, Provincial
Buildings/RoadbDeptt: etc. (to be attached
separately)

Attached

11

Was the firm ever Black Listed by any Govt: / Semi


Govt: organization?

No

12

Was the firm ever failed to complete any


contract? If so, give the full partculars.

No

13

Has the firm ever obtained extension for


completion of any contract if so, give particilar viz
the period of extension was allowed with or without
liquidated damages.

No

14

Has the firm ever been involved in any litigation


for settlement of any claim/dispute arising out of a
contract.

No

15

Brief History of the firm the date of its initial


establishment giving documentary proof (Attach
Photostat copies only).

Attached

16

Name, Designation and address of relative


employed in WAPDA, PEPCO, NTDC etc.

No

It is to certified that antecedents and credentials attached with the application are correct
according to my belief and knowledge.
PROPRIETOR/MANAGING DIRECTOR

Signature

Witness:Signature

Name

:
:

Address

Name

Address

Date